Deconti, Robert William

Deconti, Robert William is an sole proprietor health care provider with primary practice located at 7229 Forest Ave Suite 101, Richmond VA 23226-3765. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Deconti, Robert William can be contacted via phone (804) 673-8000.

Contact Information

Primary practice address
7229 Forest Ave Suite 101 Richmond VA 23226-3765
Phone: (804) 673-8000
Fax: (804) 673-4067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101051435 Virginia
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101051435 Virginia

Profile Details

NPI number 1710921788
LBN Legal business name Deconti, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Oct 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710921788 NPPES
Virginia Other VAA102128 PTAN GROUP
Virginia Other 1326248584 PTAN GROUP
Virginia Other VAA102129 PTAN GROUP
Virginia MEDICAID 6900275 PTAN GROUP

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